Preliminary Asset-Based Lending Application

Preliminary Asset-Based Lending Application

Complete this simplified form to initiate your asset-based loan inquiry. Have your property details ready.
Borrower Information
Borrower Full Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Credit Scores
Personal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Borrower Type
Employer Identification Number
LLC documents (e.g., articles of organization, operating agreement)

Cancelof
Property Information
Subject Property Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Property Type
Occupancy
Purchase Price
Estimated Value
Loan Amount Requested
use quote sheet to answer
Purpose
Exit Strategy
Loan Terms
Desired Loan Term
Interest-Only Loan
Points and Fees Acknowledgement
Reserves Verification
Do you have at least 6 months of PITI reserves?
Experience
Number of Real Estate Deals
Years of Real Estate Experience
Additional Experience Details
Declarations
Are you a co-borrower on any other loan application?
Have you ever declared bankruptcy?
Are you a party to any lawsuit or foreclosure?
Signature verify this form which is protected by an encrypt number. You may likely sign other forms for lender verification.
Electronic Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Non-Circumvention Agreement (Ohio)
Agreement Name
Party A Name
Party B Name
Date of Agreement

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Service

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Agreed Assignment / Bird Dogging Fee
The parties agree not to bypass, avoid, or circumvent one another in any real estate transaction introduced by either party. Any opportunity, contact, or transaction arising from this introduction shall be handled in good faith and in accordance with the terms of this agreement.
Party A Signature
Party A Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Party B Signature
Party B Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Preliminary Asset-Based Lending Application

Borrower Information

Property Information

Loan Terms

Reserves Verification

Experience

Declarations

Signature verify this form which is protected by an encrypt number. You may likely sign other forms for lender verification.

Non-Circumvention Agreement (Ohio)